Peripheral Nerve Injury: Mechanism, Classification, and Treatment

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Questions and Answers

What is the most common mechanism of peripheral nerve injury?

  • Compression/crush (correct)
  • Laceration
  • Penetrating injury
  • Stretching injury

What diagnostic test is commonly used for peripheral nerve injuries to assess nerve conduction velocity?

  • CT scan
  • X-ray
  • MRI
  • NCS (nerve conduction studies) (correct)

Which treatment option involves observing the patient and performing sequential EMG before considering surgical intervention?

  • Observation with sequential EMG (correct)
  • Tendon transfer
  • Direct muscular neurotization
  • Nerve grafting

What is the purpose of the MCS Score in the context of peripheral nerve injuries?

<p>To assess muscular strength (C)</p> Signup and view all the answers

Which type of peripheral nerve injury presents with numbness and proprioception issues?

<p>Neurapraxia (C)</p> Signup and view all the answers

What type of injury results in no muscle wasting but complete motor, sensory, and sympathetic function loss?

<p>Axonotmesis (A)</p> Signup and view all the answers

Which diagnostic test is commonly used for peripheral nerve injuries to assess muscle response to nerve stimulation?

<p>EMG (electromyography) (B)</p> Signup and view all the answers

What is the primary symptom of neurapraxia?

<p>Numbness and proprioception issues (A)</p> Signup and view all the answers

Which treatment option involves transferring a healthy tendon to restore function in a damaged tendon?

<p>Tendon transfer (C)</p> Signup and view all the answers

Neurapraxia presents with muscle weakness and numbness.

<p>False (B)</p> Signup and view all the answers

Axonotmesis results in complete loss of motor, sensory, and sympathetic function.

<p>False (B)</p> Signup and view all the answers

Neurotmesis is characterized by anesthesia (no pain) and muscle wasting.

<p>True (A)</p> Signup and view all the answers

NCS is commonly used for diagnosis of peripheral nerve injuries but not for treatment monitoring.

<p>False (B)</p> Signup and view all the answers

Operative treatment options for peripheral nerve injuries include nerve grafting and sensory examination.

<p>False (B)</p> Signup and view all the answers

The MCS Score is used to assess the patient's level of consciousness in the context of peripheral nerve injuries.

<p>False (B)</p> Signup and view all the answers

Compression/crush is a mechanism of injury for peripheral nerve injuries.

<p>True (A)</p> Signup and view all the answers

Observation with sequential EMG is a nonoperative treatment option for peripheral nerve injuries.

<p>True (A)</p> Signup and view all the answers

Sensory exam is scored using the MCS Score in the context of peripheral nerve injuries.

<p>False (B)</p> Signup and view all the answers

Direct muscular neurotization involves transferring healthy tendons to restore function in damaged tendons.

<p>False (B)</p> Signup and view all the answers

The primary symptom of neurapraxia is muscle wasting.

<p>False (B)</p> Signup and view all the answers

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